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NPI 1770605214 · Anchorage, AK · Ambulatory Surgical Clinic/Center
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Anchorage Endoscopy Center, LLC is a ambulatory surgical clinic/center provider located in Anchorage, Alaska. This profile covers 10 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Anchorage Endoscopy Center, LLC |
| Address | 2841 Debarr Rd Ste 51 |
| City | Anchorage |
| State | AK |
| ZIP | 99508 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | April 4, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.3M |
| Medicare | $482.6K |
Anchorage Endoscopy Center, LLC functions clearly as an ambulatory endoscopy/surgical center focused on gastrointestinal diagnostic and therapeutic procedures: its top Medicare codes include 45380, 45385 and 43239, and the Medicaid mix is similarly dominated by 43239 and 45380, indicating the facility primarily delivers colonoscopy and upper endoscopy services with biopsies and polypectomies rather than broad surgical or multi-specialty services. The presence of screening colonoscopy codes G0121 and G0105 on the Medicare side further underscores a substantial preventative screening role alongside diagnostic and interventional endoscopy work.
Revenue concentration is high for both payers: precomputed figures show the top three Medicare codes account for 72.9% of Medicare revenue and the top three Medicaid codes account for 98.5% of Medicaid revenue. This concentration indicates that a very small set of endoscopy procedures drive nearly all payer revenue and that business risk or capacity constraints would disproportionately affect overall income if volumes for those procedures shifted.
In scale, Medicaid is a larger payer for this provider: total Medicaid revenue is $1.3M compared with total Medicare revenue of $482.6K, signaling that the center’s payer mix is weighted toward Medicaid patients. The center is not effectively single-payer, but the magnitude difference suggests operational emphasis or referral patterns that generate substantially more Medicaid billing than Medicare.
Competitive standing for Medicare shows the provider is a high-volume outlier on key colonoscopy/biopsy codes nationally: 45380 ranks #483 of 16427 providers (97th percentile) and 43239 ranks #743 of 17140 providers (96th percentile), both described as notably above typical national volume. At the same time 45385 is in the 94th percentile (rank #965 of 16310) which is strong but characterized as typical/ unremarkable relative to peers; overall this positions the center as a nationally high-volume performer for several common endoscopy procedures.
Within Alaska Medicaid, Anchorage Endoscopy Center ranks near the top statewide for core services: 43239 is #5 of 30 providers (86th percentile) and 45380 is #3 of 16 providers (87th percentile), indicating the facility is a major regional provider of upper endoscopy with biopsy and colonoscopy with biopsy. Other Medicaid codes such as 45385 rank modestly (#4 of 10, 67th percentile) suggesting strong but not exclusive local market share for therapeutic polypectomy.
Tenure signals relative stability: the NPI was enumerated on 2007-04-04 (approximately 19 years ago), which supports that the center has an established presence in the market and likely sustained referral relationships and operational experience handling endoscopy volumes. This long enumeration aligns with the concentrated, repeatable procedure mix reflected across both payers.
Payment-per-claim patterns differ by payer and may reflect payer-specific rates and case mix: average paid/claim on Medicaid for 43239 is $518 vs Medicare average paid/claim of $278 for the same code, and Medicaid average paid/claim for 45380 is $495 vs Medicare $420. These differences suggest Medicaid is contributing larger dollars-per-claim for the same procedure codes in this market, amplifying Medicaid’s role in overall revenue despite comparable procedural volumes.
There are no broad-service outliers reported beyond endoscopic procedures; lower-frequency Medicare codes such as 43248 and 45331 appear at modest percentiles or volumes and are described as typical or unremarkable for national peers. The provider’s billing profile therefore appears narrowly specialized around endoscopy services rather than reflecting a diverse procedural portfolio across other surgical specialties.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 340 | $420 | $144.1K |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 250 | $510 | $123.7K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 300 | $280 | $84K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 100 | $470 | $47.9K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 90 | $460 | $41.7K |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 60 | $360 | $20K |
| 43235 | The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing. | 30 | $340 | $9.4K |
| 45331 | In this procedure, the provider examines the inner part of the rectum and the sigmoid colon using a sigmoidoscope, a flexible, narrow tube with a camera at its one end. He then takes one or more… | 10 | $350 | $4.9K |
| 45381 | The provider inserts a flexible endoscope into the anus and navigates the scope through the entire colon. The provider performs one or more injections into the submucosa (the tissue below the mucous… | 10 | $270 | $3.8K |
| 43248 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the… | 10 | $270 | $3.2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 1,440 | $520 | $747.5K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 850 | $500 | $418.3K |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 160 | $450 | $71.8K |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 30 | $710 | $18.5K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 30 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 30 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Alaska providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Alaska median
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 5 | 30 | 50 | $510 | $233.5K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 3 | 20 | 100 | $470 | $215.5K |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 4 | 10 | 70 | $440 | $200.5K |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 3 | 10 | 20 | $610 | $157.9K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 8 | 10 | 90 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 5 | 10 | 40 | $0 | $0 |
Other providers in the same ZIP code as Anchorage Endoscopy Center, LLC, ranked by combined Medicare and Medicaid revenue.
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